Question

In: Nursing

nursing care plan for Dementia 1.planing goal/outcome 2.diagnostics 3.nursing intervention 4.Rationale 5.evaluation nursing note on Demential

nursing care plan for Dementia

1.planing goal/outcome

2.diagnostics

3.nursing intervention

4.Rationale

5.evaluation

nursing note on Demential

Expert Solution

Nursing care plan for dementia

1. Planning goal/outcome

Short term goal

The client will be able to maintain physical care with less assistance after 15 days of nursing intervention

Long term goal

With assistance from a caregiver, the client will be able to interrupt non-reality-based thinking and promote his or her level of functioning and learn and recall previous capabilities at the end of nursing intervention

2. Nursing diagnosis

Self-care deficit related to cognitive impairment.
Inability to complete tasks or activities and recent memory loss.
The risk of falls related to cognitive impairment.

3. Nursing intervention

Build rapport through a calm, supportive approach in interaction
Assess the client: How is the client able to meet his/her basic needs and who is residing with the client
Observe clients closely. It helps to check whether the client has delusional thinking and a desire for violence. Ensure client safety is a nursing priority.
Check judgment, orientation, memory, and cognitive abilities
Orient client: Frequently orient clients to reality and surroundings. Allow clients to have familiar objects around him or her; use other items, such as a clock, a calendar, and daily schedules, to assist in maintaining reality orientation.
Encourage caregivers about patient reorientation. Teach prospective caregivers how to orient the client to time, person, place, and circumstances, as required. These caregivers will be responsible for the safety of the client after discharge from the hospital.
Organize structured routine activities based on his/her abilities.
Provide a good environment and adequate sleep.
Enforce with positive feedback. Give positive feedback to the client at the time of thinking and behavior are appropriate, or not based in reality. Positive feedback helps to increase self-esteem and improves the desire to repeat suitable behavior.
Explain simply. Use simple explanations and face-to-face interaction when communicating with clients. Do not shout the message into the client’s ear. Speaking slowly and in a face-to-face position is most effective when communicating with an elderly individual experiencing a hearing loss.
Discourage suspiciousness of others. Express reasonable doubt if the client relays suspicious beliefs in response to delusional thinking. Discuss with the client about the potential personal negative effects of constant suspiciousness of others.
Avoid the cultivation of false ideas. Do not permit the rumination of false ideas. When this begins, talk to the client about real people and real events.
Assist the client in daily activities

4.Rationale

Trust is important for asking for help and for building relationships. It also helps to remove the paranoid nature
A client with dementia prompting to complete the task
Maintain a good psychosocial environment for increasing memory recall and prevent mood changes
Ensure safety environment for avoiding fall and accidents
The client will be able to lessen the dependency on the caregiver and able to function with integrity

5.evaluation

The client becomes able to wear the dress with minimal assistance
The client will be participative in activities or tasks like fixing and feeding at their own level of ability than the previous level.
The client will try to learn or relearn the task
With help of a caregiver, the client is able to separate reality-based and non-reality-based thinking.
Caregivers become able to verbalize ways in which to orient clients to reality, as needed.

Nursing note on Dementia

Dementia is defined as the loss and damage of previous levels of cognitive, executive, and memory function in a state of full alertness. Dementia is a long-term disorder of the mental functions caused by brain disease or injury, memory disorders, personality changes, and impaired reasoning. Dementia is a group of thinking and social symptoms that inhibits daily functioning characterized by damage of at least two brain functions like memory loss and judgment.

Symptoms are forgetfulness, imperfect social skills, and impaired thinking abilities that interfere with daily activities.

The following symptoms have been identified with the syndrome of dementia:

Memory damage decreased the ability to learn new information or difficulty to recall previously learned information.
Difficulty in abstract thinking, judgment, and impulse control.
Difficulty in language ability, difficulty naming objects. In some cases, the individual may not speak at all (condition of aphasia).
Personality changes
Difficulty to perform motor activities despite unbroken motor abilities (apraxia).
Disorientation. Patients may feel confused regarding the current place, time, and names of persons who are close with.
Wandering. With the effect of disorientation, patients with dementia may wander from one place to another.
Delusions are commonly present (especially delusions of persecution).

Medication and therapies may help manage symptoms.

Nightingale answered 2 years ago

DISTURBED SENSORY PERCEPTION AUDITORY Nursing care plan: Assessment, diagnosis, planning,intervention, Evaluation

Create a nursing care plan with 2 nursing diagnosis, one short term goal for each diagnosis,...

Create a nursing care plan with 2 nursing diagnosis, one short term goal for each diagnosis, per diagnosis 5 interventions with rationale, and evaluation for the following patient. 75 y/o day #3 F nx HTN, DM, CAD/MI, CVA X2 W/ recent admission who presented as a notification for AMS & hypotension with unknown last know well. Noted to be hypothermia normotensive following limited commands not responding verbally withdrawing pain improved with IV bolus and warming blanket. Concern for transient AMS...

1. Impaired skin integrity -what are the assessment, goals/plan, nursing intervention, patient education, and evaluation (how...

1. Impaired skin integrity -what are the assessment, goals/plan, nursing intervention, patient education, and evaluation (how did the goals met?) 2. Bowel Incontinence --what are the assessment, goals/plan, nursing intervention, patient education, and evaluation (how did the goals met?) 3. Risk for Constipation --what are the assessment, goals/plan, nursing intervention, patient education, and evaluation (how did the goals met?) 4. Fluid Volume Deficit -what are the assessment, goals/plan, nursing intervention, patient education, and evaluation (how did the goals met?) 5....

1. How would you involve stakeholders in the development of an intervention evaluation plan? 2. What...

1. How would you involve stakeholders in the development of an intervention evaluation plan? 2. What are the pros/cons for using primary data sources vs secondary data sources? 3. Describe how process, impact, and outcome evaluation could be used in a stress management program for college students. 4. What is the difference between statistical significance and program (or clinical or practical) significance?

What are the 1. Use 2. Side effects 3. Adverse reactions and contraindications 4. nursing intervention/responsibilities...

What are the 1. Use 2. Side effects 3. Adverse reactions and contraindications 4. nursing intervention/responsibilities before, during and after administration. of these Drugs Digoxin Furosemide Naloxone Nifedipine Propranolol/ atenolol Celecoxib Insulin Alendronate Iron Warfarin Nitroglycerin Nitroglycerin Nitrofurantoin Rifampicin Lactulose Allopurinol Theophylline Methimazole Levothyroxine Spironolactone Albuterol corticosteroids

concept mapping for diagnosis of crohn's disease 1. pathophysiology 2. medical interventions 3. nursing intervention 4....

concept mapping for diagnosis of crohn's disease 1. pathophysiology 2. medical interventions 3. nursing intervention 4. assessment 5. nursing considerations 6. patient teaching

1,Central Line/Dressing Standards of Care: Nursing Standards of Care: Rationale: 2, . Pt getting ready to...

1,Central Line/Dressing Standards of Care: Nursing Standards of Care: Rationale: 2, . Pt getting ready to get intubated . Which orders do you implement first, and give a rationale why 1,Ventilator settings: CMV/AC rate 12, TV 550 mL, PEEP +5, FiO2 100%. 2,0.9% NS IV infusion 100 mL hour 3,Insert urinary catheter 4,Fentanyl IV infusion 10-125 mcg/hour. RASS goal -3 (Mod. Sedation) 5,Dexmedetomidine IV infusion 0.2-1 mcg/kg/hour. RASS goal - 3 (Mod. Sedation) 6,Norepinephrine IV infusion (0.5-30 mcg/min) to maintain...

A. Capital Budgeting Evaluation Process 1. 2. 3. 4. 5. B. Cash Payback. 1. Describe __________________

A. Capital Budgeting Evaluation Process 1. 2. 3. 4. 5. B. Cash Payback. 1. Describe __________________________________________________ ___________________________________________________________ 2. Net annual cash flow is computed by ___________________________ ________________________________________________________. a. Cash Payback Period = b. The shorter the payback period, the more ___________the investment. c. The cash payback technique recognizes that: (1) (2) d. In the case of uneven net annual cash flows, the company determines the cash payback period when _____________________________ _____________________________________________________ C. Net Present Value Method. 1. 2. 3. 4. The net present value method involves discounting net cash flows...

IM DOING A CASE STUDY AND NEED THE FOLLOWING BELOW 1.NURSING DIAGNOSIS 2.SUBJECTIVE DATA 3.IMPLEMENTATION 4.RATIONALE...

IM DOING A CASE STUDY AND NEED THE FOLLOWING BELOW 1.NURSING DIAGNOSIS 2.SUBJECTIVE DATA 3.IMPLEMENTATION 4.RATIONALE 5.EVALUATION 6.OBJECTIVE DATA 7.EXPECTED OUTCOMES Cholecystitis Case Study Mr. S. is a retired 54-year-old male who arrives at the emergency room (ER) by ambulance. Mr. S. and his girlfriend were out celebrating by eating a steak-and-lobster dinner at their favorite restaurant. While eating dessert, Mr. S. had grabbed his chest and stated, “It feels like an elephant is stepping on me.” On the way...

4. (a) Suppose that τσ=(1 5 2 3)(4) and στ=(1 2 4 5)(3) in S5. If...

4. (a) Suppose that τσ=(1 5 2 3)(4) and στ=(1 2 4 5)(3) in S5. If σ1 = 2, find σ and τ. (b) In Sn, show that σ = τ if and only if σ(τ)^(−1) = ε. ε is the identity permutation. Must be written as a proof. (c) Let σ=(1 2 3) and τ=(1 2) in S3. Show that S3={ε,σ,σ^2,τ,τσ,τ(σ)^2} and that σ^3=ε=τ^2 and στ=τ(σ)^2, then fill out the multiplication table for S3.